TIMOTHY D. JOHANSON M.D. – NPI #1578577441
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

TIMOTHY JOHANSON is a physician located in TUCSON, AZ. NPPES has assigned the NPI number 1578577441 to TIMOTHY JOHANSON on July 28, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 10 years ago on Feb 08, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTHY JOHANSON below.

NPI Profile for
TIMOTHY D. JOHANSON

NPI Number
1578577441
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY D. JOHANSON
Credentials
M.D.
Primary location
1501 N. CAMPBELL AVE.
TUCSON, AZ 85724
Phone: (952) 920-9191 Fax: (952) 920-0232
Mailing address
2701 E. ELVIRA RD
TUCSON, AZ 85756-7124
Phone: (520) 626-0923 Fax: (520) 626-2808
Sole Proprietor
No
Updated
Identifiers

Identifiers for TIMOTHY JOHANSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDMN47B40JO
OTHERMEDICA1200632
OTHERPREFERRED ONECP9020830013
MEDICAIDMN496002500
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MN 33782

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.